Caleb Donaldson Southall, MD is a medicare enrolled "Family Medicine" physician in Sutherland, Virginia. His current practice location is
5609 Claiborne Rd, Sutherland, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 265-5211.
Caleb Donaldson Southall is licensed to practice in Virginia (license number 0101283159) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285212480.
Physician's Profile
Full Name | Caleb Donaldson Southall |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 5609 Claiborne Rd, Sutherland, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285212480
- Provider Enumeration Date: 03/30/2021
- Last Update Date: 10/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698206605
- Enrollment ID: I20241001004470
Medical Identifiers
Medical identifiers for Caleb Donaldson Southall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285212480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0101283159 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Caleb Donaldson Southall allows following entities to bill medicare on his behalf.
Entity Name | Sutherland Family Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699869487 PECOS PAC ID: 1153309703 Enrollment ID: O20040709001022 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caleb Donaldson Southall is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Caleb Donaldson Southall, MD 13540 Hull Street Rd, Midlothian, VA 23112-2107 Ph: () - | Caleb Donaldson Southall, MD 5609 Claiborne Rd, Sutherland, VA 23885-9303 Ph: (804) 265-5211 |
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